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Ann Thorac Surg 1996;61:1532-1534
© 1996 The Society of Thoracic Surgeons

Case Report

Histologic Appearance of Transmyocardial Laser Channels After 41/2 Weeks

Daniel Burkhoff, MD, PhD, Peter E. Fisher, MD, Mark Apfelbaum, MD, Takushi Kohmoto, MD, Carolyn M. DeRosa, BA, Craig R. Smith, MD

Departments of Medicine, Pathology, and Surgery, Columbia-Presbyterian Medical Center, New York City, New York

Accepted for publication November 22, 1995.

Preliminary results of clinical studies suggest that transmyocardial laser revascularization is an effective treatment for patients with chronic angina that cannot be treated by other means. The mechanism of this effect remains controversial. We present autopsy results from a patient obtained 41/2 weeks after operation that show that the channels do not maintain patency. Further work is needed to determine the frequency of channel patency and its relation to clinical benefit.


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Invited Commentary
O. H. Frazier and Kamuran A. Kadipasaoglu
Ann. Thorac. Surg. 1996 61: 1534-1535. [Extract] [Full Text]



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